Medication Reconciliation for Patients Over 65 Years Old : Cost Analysis of the Process Implemented in the Polyvalent Internal Medical Unit of Rennes University Hospital

Completed

• Conditions: Medication Reconciliation
• Interventions: Other: Cost analysis of medication reconciliation

• Registration Number: NCT03670433
• Lead Sponsor: Rennes University Hospital

Brief Summary

Among the strategies to secure the patient's care path, medication reconciliation is a powerful approach for the prevention and interception of medication errors.

Detailed Description

All medication errors are not serious. Nevertheless 4 studies show that respectively 5.6%, 5.7%, 6.3% and 11.7% of the medication errors intercepted by medication reconciliation (MR) could have had major, critical or catastrophic consequences for patients. If the consequences of a medication error have a clinical or institutional translation for the patient, they can also directly impact the hospital or caregivers, for example by extending the average length of stay or by increasing the number of consultations or readmissions.

The efficiency of the medication reconciliation approach has never been evaluated in France in comparison with standard care. Before initiating cost-effectiveness studies, we propose to conduct a micro-costing study to evaluate the production costs of this conciliation approach.

The costs are almost exclusively related to human resources and the present study will assess the time spent by the different actors involved in the process.

Study Timeline

• Study Start: 2017-09-05
• Primary Completion: 2017-10-31
• Study Completion: 2017-10-31
• Status Verified: 2018-09
• Study First Submitted: 2018-09-12
• Study First Submitted QC: 2018-09-12
• Last Update Submitted: 2018-09-12
• Study First Posted: 2018-09-13
• Last Update Posted: 2018-09-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Patients over 65 years old

• Patient non-institutionalized at entry

• For MR :

  • Entry : patients admitted at UMIP between 09/04/2017 and 10/31/2017
  • Discharge : patients returning home or going to a rehabilitation service between 04/09/2017 and 31/10/2017 and having received MR evaluation

Exclusion Criteria

• Patients not returning home
• Refusal of participation
• Major persons subject to legal protection (safeguard of justice, guardianship), persons deprived of their liberty

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Patients admitted in the Polyvalent Internal Medical Unit	Cost analysis of medication reconciliation	Patients over 65 years old admitted in the Polyvalent Internal Medical Unit (UMIP) of Rennes University Hospital between 09/04/2017 and 10/31/2017 or going back home or to a rehabilitation service during the same period. Cost analysis of medication reconciliation.

Primary Outcome Measures

Name	Time	Method
Time spent by professionals	At the inclusion day	Evaluation of the time spent by each professionals involved in the completion of each step of the MR process.
Number of unintentional discrepancies detected	At the inclusion day	Number of unintentional discrepancies detected during MR at admission of patients at UMIP.
Severity of unintentional discrepancies detected	At the inclusion day	Severity of unintentional discrepancies detected during MR at admission of patients at UMIP. Evaluation based on the algorithm provided by the HAS.
Average cost of MR process	At the inclusion day	Evaluation of average cost of MR process at UMIP. Only costs related to human resources are considered.

Trial Locations

Locations (1)

Rennes University Hospital; 🇫🇷 Rennes, France